1 | 1 | | 89R8985 MCF-F |
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2 | 2 | | By: Swanson H.B. No. 2684 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to information regarding perinatal palliative care; |
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10 | 10 | | creating an administrative penalty. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. This Act may be cited as the Perinatal Palliative |
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13 | 13 | | Care Act. |
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14 | 14 | | SECTION 2. The legislature finds that: |
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15 | 15 | | (1) palliative care is a critical form of care |
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16 | 16 | | provided to alleviate the pain and suffering of individuals with |
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17 | 17 | | severe life-threatening disabilities or diseases; |
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18 | 18 | | (2) in approximately two percent of pregnancies, the |
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19 | 19 | | preborn child is diagnosed with a life-threatening medical |
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20 | 20 | | condition that will likely result in the child's death before or |
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21 | 21 | | shortly after birth; and |
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22 | 22 | | (3) since the lives of preborn children are no longer |
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23 | 23 | | prematurely taken by abortion in this state, many of the children |
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24 | 24 | | described by Subdivision (2) are born alive. |
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25 | 25 | | SECTION 3. Chapter 161, Health and Safety Code, is amended |
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26 | 26 | | by adding Subchapter Z to read as follows: |
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27 | 27 | | SUBCHAPTER Z. PERINATAL PALLIATIVE CARE |
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28 | 28 | | Sec. 161.751. PURPOSE OF SUBCHAPTER. The purpose of this |
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29 | 29 | | subchapter is to ensure that a pregnant woman whose preborn child is |
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30 | 30 | | diagnosed with a life-threatening disability is informed of the |
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31 | 31 | | availability of perinatal palliative care. |
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32 | 32 | | Sec. 161.752. DEFINITIONS. In this subchapter: |
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33 | 33 | | (1) "Health care provider" has the meaning assigned by |
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34 | 34 | | Section 34.001. |
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35 | 35 | | (2) "Perinatal palliative care" means the provision of |
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36 | 36 | | comprehensive, supportive care to reduce the suffering of a |
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37 | 37 | | pregnant woman, her preborn child, and her family, from diagnosis |
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38 | 38 | | of the preborn child's life-threatening disability through the |
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39 | 39 | | child's delivery and possible death as a result of the |
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40 | 40 | | life-threatening disability. The term includes medical, social, |
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41 | 41 | | and mental health care, including counseling and health care |
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42 | 42 | | provided by maternal-fetal medical specialists, obstetricians, |
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43 | 43 | | neonatologists, anesthesia specialists, specialty nurses, clergy, |
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44 | 44 | | social workers, and other individuals focused on alleviating fear |
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45 | 45 | | and pain and ensuring the pregnant woman, her preborn child, and her |
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46 | 46 | | family experience a supportive environment. The term does not |
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47 | 47 | | include an act or omission intended to cause or hasten a preborn |
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48 | 48 | | child's death. |
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49 | 49 | | Sec. 161.753. PERINATAL PALLIATIVE CARE INFORMATIONAL |
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50 | 50 | | MATERIALS. (a) The commission shall develop perinatal palliative |
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51 | 51 | | care informational materials and post the materials on the |
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52 | 52 | | commission's Internet website. The materials must include: |
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53 | 53 | | (1) a description of the health care and other |
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54 | 54 | | services available through perinatal palliative care; and |
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55 | 55 | | (2) information about medical assistance benefits |
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56 | 56 | | that may be available for prenatal care, childbirth, and perinatal |
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57 | 57 | | palliative care. |
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58 | 58 | | (b) The commission shall develop, regularly update, and |
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59 | 59 | | publish a geographically indexed list of all perinatal palliative |
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60 | 60 | | care providers and programs in this state. The commission may |
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61 | 61 | | include perinatal palliative care providers and programs in other |
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62 | 62 | | states that provide care to residents of this state but may not |
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63 | 63 | | include an abortion provider, as defined by Section 171.002, or an |
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64 | 64 | | affiliate, as defined by Section 2273.001, Government Code, of an |
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65 | 65 | | abortion provider. |
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66 | 66 | | (c) The commission shall post on the commission's Internet |
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67 | 67 | | website the list of perinatal palliative care providers and |
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68 | 68 | | programs, including contact information, and note the providers and |
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69 | 69 | | programs that provide services free of charge. |
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70 | 70 | | Sec. 161.754. PERINATAL PALLIATIVE CARE CERTIFICATION |
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71 | 71 | | FORM. The commission shall develop a form on which a pregnant woman |
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72 | 72 | | certifies she received the perinatal palliative care informational |
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73 | 73 | | materials and list of the perinatal palliative care providers and |
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74 | 74 | | programs described by Section 161.753. |
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75 | 75 | | Sec. 161.755. HEALTH CARE PROVIDER DUTIES ON DIAGNOSIS OF |
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76 | 76 | | PREBORN CHILD'S LIFE-THREATENING DISABILITY. A health care |
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77 | 77 | | provider who diagnoses a pregnant woman's preborn child as having a |
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78 | 78 | | life-threatening disability shall, at the time of the diagnosis: |
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79 | 79 | | (1) provide the pregnant woman with a written copy of: |
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80 | 80 | | (A) the perinatal palliative care informational |
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81 | 81 | | materials and list of the perinatal palliative care providers and |
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82 | 82 | | programs described by Section 161.753; and |
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83 | 83 | | (B) the perinatal palliative care certification |
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84 | 84 | | form described by Section 161.754; and |
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85 | 85 | | (2) obtain from the pregnant woman the signed |
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86 | 86 | | perinatal palliative care certification form and place the form in |
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87 | 87 | | the pregnant woman's medical records. |
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88 | 88 | | Sec. 161.756. EXCEPTION. A health care provider is not |
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89 | 89 | | required to provide the perinatal palliative care informational |
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90 | 90 | | materials or perinatal palliative care certification form under |
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91 | 91 | | this subchapter if the health care provider verifies the pregnant |
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92 | 92 | | woman's medical record contains a signed perinatal palliative care |
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93 | 93 | | certification form for that pregnancy as required under Section |
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94 | 94 | | 161.755(2). |
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95 | 95 | | Sec. 161.757. DISCIPLINARY ACTION; ADMINISTRATIVE PENALTY. |
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96 | 96 | | A health care provider who violates Section 161.755 is subject to |
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97 | 97 | | disciplinary action by the state licensing agency that regulates |
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98 | 98 | | the provider. On determining the provider committed a violation, |
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99 | 99 | | the agency shall: |
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100 | 100 | | (1) for an initial violation, issue a written warning |
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101 | 101 | | to the provider; and |
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102 | 102 | | (2) for each subsequent violation, impose on the |
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103 | 103 | | provider an administrative penalty in the amount of $1,000. |
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104 | 104 | | SECTION 4. This Act takes effect September 1, 2025. |
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